RP Documentation and Record Keeping 2

Question 1

Under HIPAA, what is the maximum penalty per violation category for willful neglect that is not corrected?

Accepted Answer

$1,900,000

Answer

HIPAA's tiered penalty structure caps willful neglect not corrected at $1,919,173 per violation category per year.

Question 2

A client requests access to their psychotherapy notes. Under HIPAA, how should the therapist respond?

Accepted Answer

Deny access, as psychotherapy notes are excluded from the right of access

Answer

HIPAA's Privacy Rule explicitly excludes psychotherapy notes from the client's right of access to their designated record set.

Question 3

Which element is considered a minimum requirement in a clinical progress note using the SOAP format?

Accepted Answer

Subjective, Objective, Assessment, and Plan sections

Answer

SOAP notes require Subjective (client report), Objective (clinician observation), Assessment (clinical impression), and Plan (next steps).

Question 4

When a subpoena is received for a client's therapy records, the therapist's first step should be to:

Accepted Answer

Notify the client and consult with an attorney before releasing records

Answer

A subpoena alone does not override confidentiality; the therapist should notify the client and seek legal guidance before releasing records.

Question 5

What does the term 'minimum necessary' standard require under HIPAA?

Accepted Answer

Disclosing only the amount of PHI needed to accomplish the intended purpose

Answer

The minimum necessary standard requires covered entities to limit PHI disclosures to only what is needed for the specific purpose.

(RP) Registered Psychotherapist Certification Practice Test